Individual
DR. RAVI SIVAPERUMAL RAMASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC3077, CHICAGO, IL 60637-1447
(773) 702-0529
(773) 702-6454
Mailing address
180 HARVESTER DR, SUITE 110, BURR RIDGE, IL 60527-7594
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
336101602
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2013
Last updated
05/09/2016
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